THOMAS JOHN WILLKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

THOMAS JOHN

Last Name

WILLKE

Suffix

Business Name

THOMAS JOHN WILLKE MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CARMI

State

Zip

62821

County

WHITE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006